inspire Health Care Quality Summit
April 11, 2013 Regina
• 2nd fastest physician growth (8.4%)
in Canada
• 2007 = 1,644 physicians
• 2011 = 1,928*
• Rate more than twice Canadian
average
• Rural physicians (family) 243 to
256
• “Canadian trained” increase of
14.3%
• IMG decrease of 4.7%
Current Situation Current Situation
Our Agency
• Crown Corporation – Agency of the Government of Saskatchewan
• Coordinate and enhance
• Serve as a central point of contact
• Provide expertise
• Reduce competition
• Partner with key stakeholders
Recruitment Needs to 2020
Add: To keep up with population demand 79
Add: Equalize access 17
Add: Unmet need adjustment 45
Add: Projected retirements 74
Turnover from, less retirements 734
Total recruitment needed 949
Source: U of S medical residents 332
Out of province recruitment needed 617
Annual out of province recruitment
needed 56
Family Physicians
Saskatchewan Medical Association
Rural Bus Tour
La Loche – January 2013
Engaging Medical Learners
• Student and Resident Board
representation
• Engaging Canadians Studying
Abroad (CSAs)
• Student loan reimbursement
• Presentations to academic
half-days
• Hosting provincial career fairs
• PREP rural externship
• SMA bus tours
Recruitment
• Canadian conferences
and events
• Select United States
• England
• Ireland
• SIPPA targeted
recruitment
Arab Health Expo, Dubai – January 2013
SIPPA Pre-Screening
• saskdocs pre-screening
potential candidates
• Pre-screening developed by
SIPPA working group
• Known IMGs in
Saskatchewan and Canada
• Growing international
awareness
In Progress, 318
Meets Pre-Screening
Criteria, 276
Not Eligible, 103
Regional Health Authorities
Hand Offs RHA # of Doctors Handed Off
Cypress 9
Five Hills 23
Heartland 24
Kelsey Trail 17
Prairie North 40
Prince Albert Parkland 31
Regina Qu’Appelle 55
Saskatchewan Medical Association 3
Saskatoon 60
Sun Country 28
Sunrise 37
Hand Off Statistics as of March 31, 2013
45 %
13 %
10 %
8 %
6 %
4 %
4 %
3 %
2 %
2 %
1 %
1 %
1 %
1 %
0 % 10 % 20 % 30 % 40 % 50 %
Work-life balance
Career opportunities for spouse/partner
The community as a whole
Adequate support to do your job
Proximity to family and friends
Income (including benefits)
Professional development opportunities
Commute time
Financial incentives
Availability of training
Ability to access appropriate care facilities for patients
Electronic Medical Records
Flexible work hours
Proximity to an international airport
Medical Learner Survey
Single Most Important Factor
Source: saskdocs - SMA (Insightrix) Medical Learner Survey, April 2012.
Exit Survey
Primary Reasons for Leaving
14 %
16 %
24 %
28 %
32 %
32 %
48 %
0 % 10 % 20 % 30 % 40 % 50 % 60 %
Other
Compensation not competitive
Not enough support
Weather
Workload too much
Location/lack of amenities
Be closer to family
Family
Family
Source: saskdocs - SMA (Insightrix) Physician Exit Survey, April 2012.
Financial Incentives
Recruitment Retention
Financial Incentives
Practice Establishment/Relocation Assistance
Student / Resident Bursaries
Rural Experience
Work – Life Balance
Family Engagement
Collegial Relationships
• Work life balance is a common theme
• Family is a large driver
Saskatchewan
Rural & Remote
Practice Grant
for Recent Medical
Graduates
Description
• $120,000 for recent medical graduates
• Rural and remote communities (10,000 >)
• Over five years
• Experience prior to April 1, 2012 NOT
considered
• Family Medicine training, fully licenced
For More Information
www.saskdocs.ca/work/srrpg • Program Overview
• Program Parameters
• Application Form
Contact Jennifer Grunert [email protected]
309-4th Ave N, Saskatoon
S7K 2L8
1.888.415.3627
Summary
• Saskatchewan is not alone
• Physician shortages in every province
• Around the world
• “Quick Fix” solutions don’t work
• Multi-faceted solution required
• Each partner (communities, municipalities,
government, doctors) all play a role